The University of Dublin | Trinity College -- Ollscoil Átha Cliath | Coláiste na Tríonóide
Trinity's Access to Research Archive
Home :: Log In :: Submit :: Alerts ::

TARA >
School of Medicine >
Psychiatry >
Psychiatry (Scholarly Publications) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/2262/57574

Title: The DUNDRUM Quartet: validation of structured professional judgement instruments DUNDRUM-3 assessment of programme completion and DUNDRUM-4 assessment of recovery in forensic mental health services
Author: KENNEDY, HARRY
Author's Homepage: http://people.tcd.ie/kennedh
Keywords: Psychiatry
DUNDRUM Quartet
Issue Date: 2011
Citation: Sarah O Dwyer, Mary Davoren, Zareena Abidin, Elaine Doyle, Kim McDonnell, Harry G Kennedy, The DUNDRUM Quartet: validation of structured professional judgement instruments DUNDRUM-3 assessment of programme completion and DUNDRUM-4 assessment of recovery in forensic mental health services, BMC Research Notes, 4, 229, 2011
Series/Report no.: BMC Research Notes;
4;
229;
Abstract: Background: Moving a forensic mental health patient from one level of therapeutic security to a lower level or to the community is influenced by more than risk assessment and risk management. We set out to construct and validate structured professional judgement (SPJ) instruments for consistency and transparency in decision making Methods: Two instruments were developed, the seven-item DUNDRUM-3 programme completion instrument and the six item DUNDRUM-4 recovery instrument. These were assessed for all 95 forensic patients at Ireland's only forensic mental health hospital. Results: The two instruments had good internal consistency (Cronbach's alpha 0.911 and 0.887). Scores distinguished those allowed no leave or accompanied leave from those with unaccompanied leave (ANOVA F=38.1 and 50.3 respectively, p<0.001). Scores also distinguished those in acute / high security units from those in medium or in low secure / pre-discharge units. Each individual item distinguished these levels of need significantly. The DUNDRUM-3 and DUNDRUM-4 correlated moderately with measures of dynamic risk and with the CANFOR staff rated unmet need (Spearman r = 0.5, p<0.001). Conclusions: The DUNDRUM-3 programme completion items distinguished significantly between levels of therapeutic security while the DUNDRUM-4 recovery items consistently distinguished those given unaccompanied leave outside the hospital and those in the lowest levels of therapeutic security. This data forms the basis for a prospective study of outcomes now under way
Description: PUBLISHED
URI: http://hdl.handle.net/2262/57574
Related links: http://www.biomedcentral.com/1756-0500/4/229
Appears in Collections:Psychiatry (Scholarly Publications)

Files in This Item:

File Description SizeFormat
The DUNDRUM Quartet- validation of structured professional judgement instruments DUNDRUM-3 assessment of programme completion and DUNDRUM-4 assessment of recovery in forensic mental health services.pdfPublished (publisher's copy) - Peer Reviewed213.37 kBAdobe PDFView/Open


This item is protected by original copyright


Please note: There is a known bug in some browsers that causes an error when a user tries to view large pdf file within the browser window. If you receive the message "The file is damaged and could not be repaired", please try one of the solutions linked below based on the browser you are using.

Items in TARA are protected by copyright, with all rights reserved, unless otherwise indicated.

 

Valid XHTML 1.0! DSpace Software Copyright © 2002-2010  Duraspace - Feedback